Bacille Calmette-Guérin vaccine-related disease in HIV-infected children: a systematic review
Data(s) |
01/11/2009
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Resumo |
<b>Objective</b>: To describe the characteristics and risk of bacille Calmette-Guérin (BCG) vaccine related disease in human immunodeficiency virus (HIV) infected infants.<br /><b>Methods</b>: Systematic literature review of articles published from 1950 to April 2009 in the English language. We identified all microbiologically confirmed cases of disseminated BCG disease in vertically HIV-infected children reported in the literature.<br /><b>Results</b>: Sixteen observational studies and 11 case reports/series were included. Observational studies suffered from high rates of loss to follow-up and death. Loco-regional BCG disease was reported in both HIV-infected and non-infected children. Disseminated BCG disease was reported only in children with immunodeficiency and only in studies employing sophisticated laboratory techniques. Sixty-nine cases of disseminated BCG were identified in the literature: 47 cases were reported in six observational studies, the majority (41/47) from the Western Cape of South Africa. A Brazilian cohort study reported no cases of disseminated BCG amongst 66 HIV-infected children observed over a 7-year period. A recent South African surveillance study reported 32 cases of disseminated BCG over a 3-year period, estimating the risk of disseminated BCG to be 992 per 100 000 vaccinations in HIV-infected children. Few cases of severe disseminated TB were reported in the cohort studies among HIV-infected children vaccinated with BCG.<br /><b>Conclusion</b>: Data on the risk of BCG vaccination in HIV-infected children are limited. Targeted surveillance for BCG complications employing sophisticated diagnostic techniques is required to inform vaccination policy.<br /> |
Identificador | |
Idioma(s) |
eng |
Publicador |
International Union Against Tuberculosis and Lung Disease |
Relação |
http://dro.deakin.edu.au/eserv/DU:30021860/bennett-bacillecalmette-2009.pdf http://www.ingentaconnect.com/content/iuatld/ijtld/2009/00000013/00000011/art00005 |
Direitos |
2009, International Union Against Tuberculosis and Lung Disease |
Palavras-Chave | #BCG #HIV #disseminated #review |
Tipo |
Journal Article |